The Pouch Place, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

THE POUCH PLACE, INC.

Practice address

8805 Kingston Pike
Suite 106
Knoxville, TN 37923-5017

Phone

(865) 531-1285

Fax

(865) 690-0769

NPI assigned

Aug 16, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Beryl Price Evans, RN MS CWON

Title

President/Owner

Phone

(865) 531-1285

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• The Pouch Place, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Chattanooga, TN
  • NPI 1588991681
  NPPES parent name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471996800000",
    "number": "1891808853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8805 KINGSTON PIKE",
            "address_2": "SUITE 106",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379235017",
            "telephone_number": "865-531-1285",
            "fax_number": "865-690-0769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8805 KINGSTON PIKE",
            "address_2": "SUITE 106",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379235017",
            "telephone_number": "865-531-1285",
            "fax_number": "865-690-0769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE POUCH PLACE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2016-08-24",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "BERYL",
        "authorized_official_middle_name": "PRICE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "865-531-1285",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN MS CWON"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3562662",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0138932",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Durable Medical Equipment & Medical Supplies in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.